Laparoscopic transabdominal cervicoisthmic cerclage.
OBJECTIVE
To report a laparoscopic technique for placement of a transabdominal cervicoisthmic cerclage.


METHODS
Detailed case report of one of three patients undergoing described procedure.


METHODS
University hospital.


METHODS
A 39-year-old infertile patient with a history of cervical adenocarcinoma in situ and two cone biopsies, resulting in an essentially absent exocervix.


METHODS
Laparoscopic transabdominal cervicoisthmic cerclage placement, as an interval procedure, followed by ET of cryopreserved donor oocyte-derived embryos.


METHODS
Clinical outcome.


RESULTS
Establishment of a pregnancy delivered at 38 1/2 weeks of gestation by elective cesarean section.


CONCLUSIONS
Patients believed to require a transabdominal cerclage may undergo a laparoscopic interval procedure, obviating the need for a laparotomy before or during pregnancy.
Scibetta
J J
JJ
Department of Obstetrics and Gynecology, University of Rochester, New York 14642, USA.
Sanko
S R
SR
Phipps
W R
WR
D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D013536:Suture Techniques; D002577:Uterine Cervical Diseases / Q000601:surgery*